Clinical Case Database / Category: Patient Management
Mitral regurgitation & mitraclips
Prof. Petros Nihoyannopoulos, Dr G S Kanaganayagam
Foundation Years Journal, volume 8, issue 2, p.38 (123Doc Education, London, February 2014)
The patient in our case has a complex cardiac history and presents with the common problem of breathlessness. The various cardiac causes for this are explored, identifying salient features that should be sought in the history of any patient presenting with the same problem. Features of his examination and a list of investigations identify his primary problem as mitral regurgitation (MR), with evidence behind some of the tests provided. Acute general management of MR expected from the Foundation doctor and longer term specialist management options are then explored, including the use of a MitraClip.
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Prof. Petros Nihoyannopoulos
MD, FRCP, FESC, FACC, FAHA
Professor of Cardiology, President, European
Association of Echocardiographyof the ESC
Imperial College London, NHLI
W12 0NN, UK
Dr G S Kanaganayagam
Academic Cardiology Registrar
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